Clinical News

'Together for Health': Welsh Government Liver Disease Delivery Plan

Thursday, 07 May 2015 08:52

The Welsh Government has published its liver disease delivery plan - Together for Health.

It is split into six themes:

  • Preventing liver disease and promoting liver health
  • Timely detection of liver disease
  • Fast and effective care
  • Living with liver disease
  • Improving information
  • Targeting research

For each theme, the following is set out:

  1. Key service issues
  2. Specific priorities
  3. Population outcome indicators and NHS assurance measures

NCEPOD - call for study proposals 2015

Friday, 01 May 2015 10:05

NCEPOD has announced that the 2015 call for study proposals is now open. Members are invited to submit original study proposals, which will be considered as possible forthcoming studies. Study proposals should be relevant to the current clinical environment and, very importantly, should have the potential to contribute original work to the subject.

Those BSG members wishing to submit a study proposal should contact the relevant BSG Section chair to discuss a formal submission. Proposals must be submitted by 25th September 2015.

BSG supported STOPAH study shows a lack of evidence for drug treatments

Wednesday, 29 April 2015 08:22

The survival of patients with alcohol-related hepatitis is not being significantly improved by the main drugs currently widely used in treatment of this condition, according to a major new National Institute for Health Research sponsored study supported by members of the British Society of Gastroenterology.

Senior health professionals are highlighting an 'urgent need' for investment into research for the prevention and treatment of alcohol-related liver disease. Documented in the New England Journal of Medicine¸ a trial of over 1,000 patients using prednisolone and pentoxifylline did not achieve a statistically significant reduction in mortality after 28 days, 90 days, or a year.

The alarming findings come at a time when the incidence of alcohol-related liver disease is rapidly increasing, however the report does also show that the overall mortality has fallen compared to studies done in the past which suggests that specialist in hospital care of these very sick people can improve outcomes, and what could be achieved more widely contrasting with the 2013 NCEPOD report on the care of cirrhosis where care was often found to be lacking.

Commenting, British Society of Gastroenterology Vice President (Hepatology), Dr Stephen Ryder, said:

"STOPAH has answered some key questions in the treatment of alcohol-related hepatitis and highlighted the urgent need for research into the prevention and treatment of alcohol-related liver disease, which is on the rise.

Whilst the study does suggest that patients are receiving better care than reported in previous reviews, unfortunately it also shows that neither steroids or pentoxifylline are effective treatments and there is no real indication now for their use.

The stark finding in STOPAH remains the high late mortality related to resumption of alcohol intake and emphasises the need for universal implementation of the BSG recommendations on alcohol care teams, that seems likely to be a far more effective intervention than any medical therapy for the acute episode.

One of the great successes of this study was to show that UK hepatologists and gastroenterologists from over 50 UK centres can collaborate to deliver important large scale clinical studies aimed at improving outcomes for patients with liver disease."

 

NCEPOD Gastrointestinal Haemorrhage Report Launch

Friday 3rd July 2015

A review of the care of patients diagnosed with a major upper or lower gastrointestinal bleed

The aim of this study was to explore remediable factors in the process of care of patients (16 and over) who were diagnosed with a major upper or lower gastrointestinal bleed.

The report will provide comment on the following:

  • The quality of assessment including risk stratification and early warning scores
  • Referral pathways: including who the patient is admitted under/transferred to
  • Delays in treatment
  • Endoscopy, CT, interventional radiology, surgery
  • Hospital resources

Venue: Royal College of Physicians, 11 St Andrews Place, London NW1 4LE

4 CPD credits approved by the Federation of the Royal Colleges of Physicians of the United Kingdom.

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